Editor–The October issue's attention to systems approaches in healthcare is timely.
Belatedly, the NHS might now realise that it will benefit more from engineering approaches …

POSTCARD FROM THE UK you add up the wages and the travelling times, a single meeting
can cost the same as a whole week of clinical care, but rarely will it take a decision that …

Matthew Taylor, chief executive of the NHS Confederation, said that the speculation about its
content was “very unhelpful” given that staff and leaders were dealing with huge pressures …

TO THE EDITOR: I note, with a breath of fresh air, your recent column about managing
hospital staff rosters1 and, in the same issue, the article by Dietz, calling for a simpler, more …

Doctors' and nurses' leaders have called for ward rounds to be restored to the position they
once held as the cornerstone of hospital care and for a “concerted culture change” to enable …

a workable capacity mechanism would need to be put in place to ensure models of care that
can continue to deliver high quality and timely access to care, and to manage the increased …

Few healthcare systems are exempt from a seemingly constant cycle of reform and this is
particularly apparent in the USA and England at present. In part this is driven by the need to …

HEALTH CARE REFORM advance the quality of services. An outstanding academic
surgeon, Lord Darzi, was then appointed a life peer, becoming the Parliamentary Under …

Responsibility for the NHS is becoming increasingly depoliticised, and devolved more and
more to the (willing or unwilling) professionals who actually run it. This is an excellent state …

World-wide, there is a shortage of doctors, nurses and other healthcare professionals, but
not of health bureaucrats. Armed with the mantra of evidence-based healthcare, efficiency …